Individual
DEREK LEE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6404 NURSERY DR STE 202, VICTORIA, TX 77904-1688
(361) 576-0633
(361) 576-0639
Mailing address
6404 NURSERY DR STE 202, VICTORIA, TX 77904-1688
(361) 576-0633
(361) 576-0639
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
U9610
TX
Other
Enumeration date
04/02/2019
Last updated
01/20/2025
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